ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Question 1 of 5
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: This test will determine the adequacy of placental perfusion. A non-stress test is used to assess fetal well-being by monitoring the fetal heart rate in response to fetal movement. The test helps determine if the placenta is providing enough oxygen to the fetus. Adequate placental perfusion is crucial for the well-being of the fetus. Option A is incorrect because a non-stress test does not confirm fetal lung maturity. Option C is incorrect because a non-stress test does not detect fetal infection. Option D is incorrect because a non-stress test does not predict maternal readiness for labor.
Question 2 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: D
Rationale: The correct answer is D: 1 cup cooked broccoli. Broccoli is a good source of calcium, with approximately 43 mg per cup. This is important for pregnant women, especially those following a vegan diet, as they need to ensure adequate calcium intake for fetal development and bone health. Avocado (choice
A), banana (choice
B), and potato (choice
C) are not significant sources of calcium compared to broccoli. Avocado and banana are low in calcium, while potatoes have even less. Thus, broccoli is the best option for the client to meet her calcium needs.
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Correct Answer: D
Rationale: The correct answer is D: You should have your provider refit you for a new diaphragm. After childbirth, the size and shape of the cervix and vaginal canal may change, affecting the fit of the diaphragm. It is essential to have a healthcare provider assess and refit the diaphragm to ensure proper contraception.
Incorrect answers:
A: Using oil-based vaginal lubricant can degrade latex diaphragms, leading to breakage.
B: Storing the diaphragm in sterile water can damage the latex material and increase the risk of infection.
C: Keeping the diaphragm in place for a specific time after intercourse is not necessary and can increase the risk of toxic shock syndrome.
E: Not applicable.
F: Not applicable.
G: Not applicable.
Question 4 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Painless vaginal bleeding. In placenta previa, the placenta partially or completely covers the cervix, leading to painless vaginal bleeding. This occurs due to separation of the placenta from the uterine wall. A firm rigid abdomen (
A) is more indicative of abruptio placentae. Uterine hypertonicity (
C) is seen in conditions like uterine rupture, not placenta previa. Persistent headache (
D) is not typically associated with placenta previa.
Question 5 of 5
A nurse is using Nagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: C
Rationale: The correct answer is C: May 5th. Nagele's rule is used to estimate the expected delivery date by adding 7 days to the first day of the last menstrual cycle, subtracting 3 months, and then adding 1 year. In this case, the first day of the last menstrual cycle was July 28th. Adding 7 days gives August 4th. Subtracting 3 months gives May 4th. Adding 1 year gives May 4th of the next year. Since May 4th falls on a Sunday, the expected delivery date is adjusted to the following day, May 5th.
Choice A, B, and D are incorrect because they do not follow the correct calculations of Nagele's rule.